Tiffani Tucker
Richmond
Summary
Dynamic professional with extensive experience in patient transport and member services at ANTHEM Health Services. Proven ability to enhance patient comfort and safety while maintaining meticulous records. Strong communicator with a keen attention to detail, adept at resolving complex issues and fostering positive relationships to improve service quality.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Patient Transporter
Allied Universal Security Services
Richmond
11.2024 - 04.2025
- Ensured patient comfort during transport by providing verbal reassurance and support.
- Adhered to safety protocols while transporting patients throughout the hospital or healthcare facility premises.
- Maintained accurate records of all transports completed including start times, destinations reached and miles traveled.
- Evaluated patient conditions before, during, and after transportation for any adverse reactions or changes in health status.
- Conducted regular vehicle inspections; checked fluid levels, tire pressure, brakes, lights, ensuring that vehicles were safe for operation on public roadways.
- Greeted patient and explained transport plan and destination.
Member Service Representative
Medix
Richmond
09.2023 - 10.2024
- Resolved complex and escalated member issues efficiently, ensuring high satisfaction, and timely resolution.
- Maintained strict adherence to relevant laws, regulations, and internal policies to ensure compliance in all member service operations.
- Conducted proactive outreach to new and existing members, effectively promoting services, and strengthening relationships.
- Developed and implemented customer service protocols to enhance service quality and consistency across member interactions.
Retirement Counselor
Virginia Retirement System
Richmond
03.2023 - 09.2023
- Delivered comprehensive outreach and one-on-one counseling to a diverse population of Virginia Retirement System (VRS) members and retirees on retirement planning and benefits.
- Provided personalized, high-touch retirement counseling to local dignitaries, ensuring clarity and confidence in critical decisions.
- Assessed retirement eligibility and performed complex estimate calculations to support informed member decision-making.
- Educated members on Medicare eligibility and supplemental insurance options, helping them navigate post-retirement healthcare.
- Acted as the primary liaison for retirement program vendors, including recordkeepers, trustees, and consultants; managed these relationships to ensure timely and effective service delivery.
Billing Specialist
Express Employment Professionals
Richmond
08.2022 - 04.2023
- Oversaw day-to-day operations of the billing department, managing a team to ensure accuracy, efficiency, and compliance.
- Prepared monthly billing adjustments in alignment with service contracts, ensuring accurate and timely invoicing.
- Researched and resolved billing discrepancies and customer inquiries, maintaining strong client relationships, and minimizing revenue loss.
- Conducted weekly reviews of accounts payable balances to ensure proper financial tracking and reporting.
- Served as the central point of contact for billing-related inquiries, producing detailed reports, and spreadsheets to support cross-functional departments.
- Monitored key performance metrics related to billing operations, and implemented process improvements to optimize workflow and service quality.
Medical Management Specialist
ANTHEM Health Services
Richmond
06.2014 - 05.2021
- Ensured timely and compliant verbal and written responses to members and external parties in accordance with CMS, DHCS, and DMHC regulations.
- Processed authorization requests via phone and fax for Utilization Management review, facilitating timely care decisions.
- Maintained and updated multiple internal databases to track case progress, and ensure accurate recordkeeping.
- Created and delivered training materials related to Medicare, Medicaid, and Health Exchange grievance, appeal, and provider claim dispute processes.
- Collaborated with care teams and clinical staff to support coordinated care and improve member outcomes.
- Verified member eligibility and reviewed utilization history using Anthem systems, including membership, claims, prior authorization, and complaint tracking tools.
Member Service Representative
ANTHEM Health Services
Richmond
08.2010 - 06.2014
- Provided accurate benefit and claim information to members and providers via telephone, resolving inquiries related to membership and coordination of benefits.
- Conducted proactive outreach to inform members and providers of claim investigation results, and planned adjustments.
- Managed complex issues and escalated complaints, delivering timely and compliant resolutions in alignment with service level agreements (SLAs), and regulatory standards.
- Maintained strong communication with members to identify service gaps, implement corrective actions, and support continuous improvement within the department.
Education
Some College (No Degree) -
Strayer University
RichmondSkills
- Patient transport
- Safety protocols
- Record keeping
- Vehicle inspection
- Patient assessment
- Customer service
- Project Management
- Attention to detail
- Effective communication
- Medical documentation
- Patient confidentiality
- Medication administration
Certification
- Department of Criminal Justice Service Certification (DCJS)
Timeline
Patient Transporter
Allied Universal Security Services
11.2024 - 04.2025
Member Service Representative
Medix
09.2023 - 10.2024
Retirement Counselor
Virginia Retirement System
03.2023 - 09.2023
Billing Specialist
Express Employment Professionals
08.2022 - 04.2023
Medical Management Specialist
ANTHEM Health Services
06.2014 - 05.2021
Member Service Representative
ANTHEM Health Services
08.2010 - 06.2014
Some College (No Degree) -
Strayer University
Similar Profiles
Majid YousafMajid Yousaf
Screening Officer at Allied Universal Security Services & Paladin Airport Security ServicesScreening Officer at Allied Universal Security Services & Paladin Airport Security Services
Jose Fernando DiazJose Fernando Diaz
GSOC Operator at Vistra Security for Allied Universal Security ServicesGSOC Operator at Vistra Security for Allied Universal Security Services
Tracy ApplewhiteTracy Applewhite
Supervisor Doorman at Allied Universal Security Services/ Mfort SecuritySupervisor Doorman at Allied Universal Security Services/ Mfort Security
Warren VilliersWarren Villiers
Security Officer at Allied Universal Security ServicesSecurity Officer at Allied Universal Security Services
Bradley HallBradley Hall
Independant Filmmaker at Thanks Dad ProductionsIndependant Filmmaker at Thanks Dad Productions